Dr. Hamdy Radwan
Professor of Physical Therapy



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Hamdy Radwan , PT, PhD
Curriculum Vitae

QUALIFICATION
EDUCATION
TEACHING EXPERIENCE
CLINICAL EXPERIENCE
SPECIALIZED COURSES
LICENSURE and CERTIFICATES
PROFESSIONAL SERVICES
GRANTS
AWARDS
PUBLICATIONS
CURRENT RESEARCH ACTIVITY
NATIONAL PROFESSIONAL ACTIVITIES
COMMUNITY ACTIVITIES

 

QUALIFICATION

  • 25 years of national and international clinical and academic experience in positions of increased responsibility.

  • Excellent communication and training skills with the ability to interact favorably with individuals of all skill experience levels.

  • In-depth background and experience in general physical therapy as well as in orthopedics, acute care and geriatrics specialties.

 

EDUCATION

  • Postdoctoral Fellowship (July 2002 – July 2005)
    John Hopkins University, Baltimore, MD 

  • Doctor of Philosophy in Physical Therapy (Ph.D.) (May, 1999)
    Texas Woman’s University, Houston, TX.
    Ph.D. Dissertation “Motion Patterns, Electromyographic Activity, and Ground Reaction Forces during A Loaded Functional Reach Task: A Comparison among Subjects with Low Back Pain, Subjects with Lumbar Spine Fusion and A Control Group” 

  • Master Degree in Physical Therapy (M.Sc.) (May, 1987)
    Faculty of Physiotherapy, Cairo University, Egypt.
    M.Sc. Thesis “Comparative Electromyographic Study of the Paraspinal Muscles of laminectomyzed and Normal Subjects” 

  • Bachelor Degree in Physical Therapy (B.Sc.) (May, 1981)
    Faculty of Physiotherapy, Cairo University, Egypt.

 

TEACHING EXPERIENCE

  • Professor of Physical Therapy     2006 – Present
    Winston Salem State University, Winston-Salem, NC

  • Associate Professor (Tenured January 2002)     1999 – 2006
    Winston Salem State University, Winston-Salem, NC

  • Assistant Lecturer and Clinical Instructor     1989 – 1991
    Faculty of Physiotherapy, Cairo University, Egypt.

  • Instructor of Physical Therapy     1984 – 1989 
    Faculty of Physiotherapy, Cairo University, Egypt.

 

CLINICAL EXPERIENCE

  • PRN Physical Therapist      Present

  • PRN Orthopedic Physical Therapist     2001-2004
    Dunn Physical Therapy, Cary, NC

  • PRN Physical Therapist     2000-2000 
    High Point Regional Hospital, High Point, NC

  • Administrator     1997 – 1999
    PHOENIX Health Care Systems, Inc., Home Health Agency, Houston, TX.    

  • Clinical Director     1994 – 1997  
    Promed Personal Services, Home Health Agency, Houston, TX.      

  •  Physical Therapist II      1993 – 1994   
    Hermann Hospital, Houston, TX.          

  •  Physical Therapist      1991 – 1993 
    DC General Hospital, Washington, DC.            

  • Physical Therapist Supervisor     1987 – 1991 
    El-Fayrouz Hospital, Giza, Egypt.            

  •  Physical Therapist      1982 – 1984  
    El-Wafa Wa Al-Amal Rehab Center, Cairo, Egypt.           

  •  Physical Therapist “Internship”      1981 – 1982  
    Cairo University Hospital, Cairo, Egypt.      

 

SPECIALIZED COURSES

¨      Certificate in Electrophysiologic Evaluation, Co-sponsored by Expert Clinical Benchmarks, Drexel University, and New York Chiropractic College, 2002, King of Prussia, PA

¨      Clinical Research Investigator/Coordinator Certificate
(CRICC) Program, 2000, Winston-Salem, NC

¨      Medicare changes, 1999, Houston, TX

¨      The ways to survive – Medicare regulations, 1998, Dallas, TX

¨      Medicare Billing, 1998, Dallas, TX

¨      Proper Documentation – Medicare and Medicaid, 1997, Austin, TX

¨      Labview software training program, 1996, Austin, TX

¨      Computer Application for Physical Therapist, 1995, Houston, TX

¨      Computer Programming in C Language, 1995, Houston, TX

¨      Radiological Review for Physical Therapist, 1995, Houston, TX

¨      Current Concepts of Spine Evaluation and Treatment, 1994, Houston, TX

¨      Word Perfect, 1993, Washington, DC

¨      Spinal Evaluation and Manipulation, 1992, Baltimore, MD

¨      Wound Care, 1992, Charlottesville, VA

¨      Exercise Physiology Course, University of Maryland, 1992   College Park, MD

¨      Administrative Skills, 1992, Falls Church, VA

 

LICENSURE and CERTIFICATES

·        North Carolina Physical Therapy License - Active

·        Texas Physical Therapy License - Inactive

·        Virginia Physical Therapy License - Inactive

·        Washington DC Physical Therapy License – Inactive

·        Certificate of Clinical Research Conduct, 2000 - 2005.

·        Certificate in Electrophysiologic Evaluation, 2003

 

PROFESSIONAL SERVICES

University:

1.   Member, Institutional Review Board (IRB), October/1999-present

2.      Member, Graduate Counsel, October/2000-present.

3.      Member, Task Force for Internationalization of the Curriculum, August/2001-present.

4.      Member, Search Committee for the Dean of the School of Health Sciences, July/2000-January/2001.

5.      Member, University of North Carolina Exchange Program, Committee for Germany May/2000-May/2001.

6.      Member, University of North Carolina Exchange Program, Committee for Finland and Sweden, May/2001-present. 

School of Health Sciences:

1.      Member, International Committee of the School of Health Sciences, October/1999-present.

2.      Chair, Committee on AIDS, June/2000-present.

3.      Member, Research Committee, June/2000-present

4.      Member, School of Health Sciences Newsletter Committee, May/2000-present. 

Department of Physical Therapy:

1.      Chair, Department of Physical Therapy Research Committee, October/1999- 2002.

2.      Co-Chair, Department of Physical Therapy Admission Committee, August/2001 – present.

3.      Member, Physical Therapy Curriculum Committee, October/1999-present 

Community:

1.      Member, American Physical Therapy Association, Special Interest Groups, HIV/AIDS, February/2000-present.

2.      Member, American Physical Therapy Association, Orthopedic Section, 1993-present.

3.      Member, American Physical Therapy Association, Research Section, 1996-present

4.      Member, American Physical Therapy Association, Education Section. 1999-2001.

5.      Associate Member, University of North Carolina-Center for AIDS Research (CFAR), October/2000-present

6.      Educational Coordinator, MAT Not-for-Profit Organization, October/1999-present

7.      Chair, Al-Iman School – Raleigh, NC, June/2002 – June/2005.

 

GRANTS

·        PI: United Negro College Fund Special Program Corporation in partnership with the National Library of Medicine: A Campus and Community-Based e-Health Program: Increasing e-Health Literacy and Improving Health Behaviors, $20,000.00 (September, 2006), Funded.

·        PI: Developed a Team of three faculty to be trained at e-Health Training Institute at Thomas Jefferson University, PA and received fund for training, $2000.00 (April, 2006), Funded.

·        PI: WINSTON-SALEM STATE UNIVERSITY, Faculty Development Grant $3,000.00 (May, 2006) Funded.

·        PI: United Negro College Fund Special Program Corporation in partnership with the National Library of Medicine: E-Care Project, $19,990.00 (August, 2002), Not Funded.

·        PI: Kate B. Reynolds Charitable Trust: KBR Human Performance Laboratory, $263,897.00 (March, 2001), Funded.

·        PI: U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. HIV/AIDS: Facts and Issues Youth Education Project. $271,210.00 (February, 2001), Not Funded

·        COI: Josiah Macy, Jr. Foundation: A comparison of three teaching methods for learning spinal manipulation skill. $20.000.00 (January, 2001), Not funded.

·        PI: WINSTON-SALEM STATE UNIVERSITY, Travel grant: HIV/AIDS presentation in San Francisco, CA (March, 2001) Funded.

·        PI: WINSTON-SALEM STATE UNIVERSITY, Travel grant: Presentation San Antonio, TX. Combined Section Meeting of the American Physical Therapy Association. $1,500.00 (Feb, 2001), Funded.

·        PI: WINSTON-SALEM STATE UNIVERSITY, Travel grant: HIV/AIDS presentation in Durban, South Africa $3,000.00 (July, 2000) Funded.

·        PI: Texas Foundation of Physical Therapy: Motion Patterns, Electromyographic Activity, and Ground Reaction Forces during A Loaded Functional Reach Task: A Comparison among Subjects with Low Back Pain, Subjects with Lumbar Spine Fusion and A Control Group” (Sep, 1998) Amount= $6,000, Not funded

 

AWARDS

  1. School of Health Sciences, Winston-Salem State University, Spirit Award for Trail Blazer, May 2001.
  2. School of Health Sciences, Winston-Salem State University, Scholarship Award, May 2001.

 

PUBLICATIONS

A.     PEER REVIEWED ORIGINAL ARTICLES 

  1. Radwan H. Prevalence of Low Back Pain in Law Enforcement Officers. Bull. Fac. Ph. Th., Cairo Univ. July 2004; 9 (2): 77-81.

  2. Smiley T, Radwan H, Cowie R. Handgrip Strength: An Indicator of General Body Weakness in Individuals with HIV/AIDS Compared to Healthy Age and Gender matched Individuals. Proceedings of the 14th International AIDS Conference, Barcelona, Spain, July 7-12, 2002; 373-376.

  3. Radwan H. Effect of Lumbar Spinal Fusion on the Displacement of Center of Gravity (COG) and Center of Pressure (COP) during the Performance of a Loaded Reach Task. Bull. Fac. Ph. Th., Cairo Univ. July 2002; 7 (2).

  4. Watson TA, Radwan H. A comparison of three teaching methods for learning spinal manipulation skill. J Manual Manipulative Ther 2000, 9(1): 48-52.

  5. Etnyre BR, Simmonds M, Radwan H, Ginter J. "Kinematics of a Loaded Reach Task," Texas Motor Behavior Conference Abstracts, 5 (2000): 26.

  6. Radwan H, Simmonds MJ, Etnyre B, Novy D. Kinetic, Kinematic, and EMG activity during performance of a loaded reach task: Comparison between low back patient groups (with and without spinal fusion) and a pain free control group. SPINE (In final preparation)

  7.  Radwan H, Simmonds MJ, Etnyre B. Displacement of the center of gravity and center of pressure during performance of a loaded reach task. Comparison between low back pain patient groups (with and without fusion) and a pain free group. Physical Therapy Journal (in final preparation)

  8. Radwan H, Simmonds MJ, Etnyre BR, Novy D. "Paraspinal Muscle Response to a Loaded Reach Task among Patients with Low Back Pain, Patients with Lumbar Fusion and a Control Group," Physical Therapy, 79(6) (1999): S304.

  9.  Etnyre BR, Radwan H, Simmonds MJ, Novy DM.  "Evaluation of stability during the performance of a loaded reach task: Comparison between low back pain patient groups (with and without spinal fusion) and a pain free control group," Proceedings of the 17th Annual Houston Conference on Biomedical Engineering Research, (1999).

  10.  Simmonds MJ, Etnyre BR, Radwan H, Dietal G, Dalal S. "Hip and knee displacements during sit-to-stand movements between low back pain patients and a control group," Proceedings of the World Congress of Physical Therapy, (1999).

  11.  Simmonds MJ, Olson S, Novy D, Jones S, Hussein T, Lee CE, Radwan H. Psychological characteristics and clinical usefulness of physical performance tests in patients with low back pain. Spine. 1998 Nov; 15(23): 2412-2421.

B.    PEER REVIEWED ABSTRACTS/PRESENTATIONS

  1. Radwan H, Perez-Brown D, Reddick B: Decrease Health Disparity: Access of Internet Information by Women” Submitted to the International Educational and Networking Forum for Health, Telemedicine and Health ICT, April 16-18, 2008. Luxexpo, Luxembourg.

  2.  Radwan H, Perez-Brown D: Utilization of e-Health Information to Reduce Musculoskeletal Work Related Injuries” Submitted to the 3rd International conference on Environmental Science and Technology, April 1-3, 2008. Cairo, Egypt.

  3. Radwan H, Rainey Y, Cowie R: Increasing the Number of Minority Physical Therapy Students to Reduce Health Disparities in North Carolina. 15th International Congress of World Confederation for Physical Therapy, Vancouver, Canada, June, 2-6, 2007.

  4. Abdelazeim F, Radwan H.: Applicability of Using Formetric Instrument System to Analyze Posture in Children with Cerebral Palsy. 15th International Congress of World Confederation for Physical Therapy, Vancouver, Canada, June, 2-6, 2007.

  5. Perez-Brown D, Radwan H.: The Access and Use of Internet Breast Cancer Information by African American Women.  AOTA Annual Conference and Expo, St. Louis, MO,  April 20-23, 2007.

  6. Radwan H, Abdelazeim F: The Impact of e-Learning on Post Professional Physical Therapy Education. 5th International Internet Education Conference, ICT-Learn 2006, Cairo, Egypt. September 11-13, 2006.

  7. Radwan H, Perez-Brown D: The Accessibility of Internet Breast Cancer Information by Women. 5th International Internet Education Conference, ICT-Learn 2006, Cairo, Egypt. September 11-13, 2006.

  8. Radwan H.: e-Care: Breast Cancer Education, Cairo, Egypt, June 20-28, 2005. Presenter, (Refereed)

  9. Harris MD, Radwan H, Cowie RJ: Effects of High-Heeled Shoes on the Center of Gravity and Center of Pressure in Adult Women. American Physical Therapy Association Annual Conference, Chicago, IL, June 30-July 3, 2004 (Refereed)

  10.  Radwan H, Green G, Migliarese S, Thomas A. The Effect of Trunk Stabilization Exercises to Decrease the Risks for Falls in Elderly Patients after Hospitalization. 14th International Congress of the World Confederation for Physical Therapy, Barcelona, Spain. June 7-12 2003.

  11. Abdelazeim F, Radwan H. Evaluation of the Development of Bilateral Coordination in Preschool Children. 14th International Congress of the World Confederation for Physical Therapy, Barcelona, Spain. June 7-12 2003.

  12. Bethea D, Radwan H, Sawan S, Fish T. The Talking Pen: Assessing Fine Motor Performance in Children with Attention Deficit Disorders. World Confederation of Occupational Therapist, Sweden. June 2002.

  13. Watson TA, Radwan H, Boyle K. Learning Spinal Manipulation Part I: Comparison of teaching Methods. American Physical Therapy Association, Combined Section Meeting, Boston, MA February 20 – 24 2002.

  14. Radwan H, Watson TA, Boyle K. Learning Spinal Manipulation Part II: Gender Effect. American Physical Therapy Association, Combined Section Meeting, Boston, MA February 20 – 24 2002.

  15. Radwan H, Watson TA, Boyle K. Learning Spinal Manipulation Part I: Comparison of teaching Methods. AAOMPT conference, San Antonio, TX October 17-19, 2001.

  16.  Radwan H, Watson TA, Boyle K. Learning Spinal Manipulation Part II: Gender Effect. AAOMPT conference, San Antonio, TX October 17-19, 2001.

  17. Radwan H, Cowie R, Developing a virtual laboratory: A flexible, interdisciplinary approach to teaching health science. Piedmont Triad Research and Technology, Connectivity Expo 2001, Winston Salem, NC April 4-5 2001.

  18.  Radwan H, Watson T, Shirazyan A. Attitudes Toward Persons with AIDS: Comparison between North Carolina Health Professionals and Student Health Professionals. Piedmont Triad Research and Technology, Connectivity Expo 2001, Winston Salem, NC April 4-5 2001.

  19. Radwan H, Boles C, Garrison C, Canzone C, Miles S, Flack S. Attitude toward HIV/AIDS among North Carolina Health Professionals: Race factor. Piedmont Triad Research and Technology, Connectivity Expo 2001, Winston Salem, NC April 4-5 2001.

  20. Radwan H, Boles C, Garrison C, Canzona C, Miles S, Flack S. Attitude toward HIV/AIDS among North Carolina Health Professionals: Comparison between African American and Caucasian. 13th National HIV/AIDS Update Conference, San Francisco, CA March 20 - 23, 2001.

  21. Radwan H, Watson T, Shirazyan A. North Carolina Health Professionals and Student Health Professionals: Attitudes Toward Persons with AIDS. American Physical Therapy Association, Combined Section Meeting, San Antonio, TX February 14 – 18, 2001.

  22. Watson T, Radwan H, Shirazyan A. Knowledge and Attitude among North Carolina Physical Therapists and Physical Therapy students Concerning Persons with AIDS. American Physical Therapy Association, Combined Section Meeting, San Antonio, TX February 14 – 18, 2001.

  23. Watson T, Radwan H, A Comparison of Three Teaching Methods for Learning Spinal Manipulation Skill, American Academy of Orthopaedic Manual Physical Therapists 2000 6th Annual Conference, Charlottesville, VA October 20 -22, 2000.

  24.  Shirazyan A, Jackson T, Jones D, Westbrook T, Radwan H, Phillips I, Miles S, Canzona C, Garrison C, Boles C, Joe E, Flack S. Knowledge of health care individuals about AIDS/HIV and their attitude toward people with AIDS/HIV in the state of North Carolina – USA. 13th International AIDS Conference, Durban, South Africa July 9 - 14, 2000.

  25. Radwan H, Simmonds MJ, Etnyre BR, Novy D. Paraspinal muscle response to a loaded reach task among patients with low back pain, patients with lumbar fusion and a control group. American Physical Therapy Conference, Washington, DC, June 1999.

  26. Radwan H, Simmonds MJ, Etnyre BR. Muscles activation patterns of patients with low back pain, with lumbar fusion, and a control group during a loaded forward reach task. 13th International Congress of World Confederation for Physical Therapy, May 23-28, Yokohama, Japan, 1999.

  27. Etnyre BR, Simmonds MJ, Radwan H, Dietal G, Dalal S. Hip and knee displacements during sit-to-stand movements between low back pain patients and a control group. 13th International Congress of World Confederation for Physical Therapy, May 23-28, Yokohama, Japan, 1999.

  28.  Etnyre BR, Simmonds MJ, Radwan H. Comparison of electromyographic duration and frequency characteristics between low back pain patients and a control group. Third Interdisciplinary World Congress on Low Back Pain and Pelvic Pain. Vienna, Austria, November 1998.

  29. Radwan H, Simmonds MJ, Etnyre BR. Displacement of the center of pressure during performance of a loaded reach task: comparison between two LBP groups (with and without fusion) and a non pain control group. 11th Annual International Intradiscal Therapy Society Meeting, San Antonio TX, May 1998.

  30. Olson S, Simmonds MJ, Novy DM, Jones SC, Hussein T, Lee E, Radwan H. Reliability and validity of novel physical performance measures in patients with low back pain. 11th Annual International Intradiscal Therapy Society Meeting, San Antonio TX, May 1998.

  31. Novy DM, Simmonds MJ, Olson S, Jones SC, Hussein T, Lee CE, Radwan H. Physical performance measures: are there gender differences among patients with low back pain? 11th Annual International Intradiscal Therapy Society Meeting, San Antonio TX, May 1998.

  32. Simmonds MJ, Olson S, Novy DM, Jones SC, Hussein T, Radwan H. Classification of subjects with and without low back pain using novel tasks of physical performance. 11th Annual International Intradiscal Therapy Society Meeting, San Antonio TX, May 1998.

  33. Olson S, Simmonds MJ, Novy DM, Jones SC, Hussein T, Lee CE, Radwan H. Reliability and validity of novel physical performance measures in patients with low back pain. Proceedings of the American Pain Society Meeting, New Orleans, October 23-26, p104, 1997.

  34. Olson S, Simmonds MJ, Novy DM, Jones SC, Hussein T, Lee CE, Radwan H. Reliability, validity and clinical utility of a battery of physical performance tests for patients with low back pain. Proceedings of the National Occupational Injury Research Symposium. Morgantown, West Virginia, October 1997.

  35. Simmonds MJ, Olson S, Novy DM, Jones SC, Hussein T, Lee CE, Radwan H. Classification of subjects with and without low back pain using novel tasks of physical performance. Proceedings of the American Pain Society Meeting, New Orleans, October 1997.

  36. Novy DM, Simmonds MJ, Olson S, Jones SC, Hussein T, Lee CE, Radwan H. Physical Performance measures. Are there gender differences among patients with low back pain? Proceedings of the American Pain Society Meeting, New Orleans, October 1997.

  37. Simmonds MJ, Baum R, Radwan H. The role of experience in spinal mobilization techniques. American Physical Therapy Association, Combined Sections Meeting, Dallas, TX, February 1997.

  38. Simmonds MJ, Baum R, Radwan H. Use of a model to measure forces used by physical therapists and physical therapy students during spinal mobilization. Proceedings of the 14th Annual Houston Conference on Biomedical Engineereing Research. Houston, TX, February 1996.

  39. Simmonds MJ, Baum R, Radwan H. The influence of clinical experience on forces used during spinal mobilization, using a model. American Pain Society, 15th Annual Scientific Meeting, Washington, DC. November 1996.

 

CURRENT RESEARCH ACTIVITY

-         Kinematics and Kinetic characteristics of spinal movement.

-         AIDS, Knowledge and attitude among health care individuals.

-         Methods of teaching manipulation skill.

-         Using the Internet to Educate African-American Women about Breast Cancer, Comparative Study of Three Teaching Methods.

 

NATIONAL PROFESSIONAL ACTIVITIES

-       Invited Speaker, Muslim American Society (MAS) Raleigh Chapter, Get Healthy, Islamic Lifestyle. May, 2006.

-         Invited Speaker, Multicultural Health Fair Sponsored by Islamic Association of Raleigh and REX Healthcare, Effect of Poor Posture on Health, April 2006.

-         Invited Speaker, Education Committee of the Islamic Association of Raleigh, Low Back pain: How to prevent it? And if you have it how to deal with it? January 2006.

-         Invited Speaker, Multicultural Health Fair Sponsored by Islamic Association of Raleigh and REX Healthcare, Back Pain and Spinal Disorders, April, 2005.

-         Invited Speaker, Triangle Community Access Television Corporation, SEX Education in Public Schools, March 2003.

-         Invited Speaker, American Physical Therapy Association, North Carolina Conference, Greensboro: HIV/AIDS and Aging, October 2002.

-         Invited Speaker, UNC-CH Physical Therapy Research Forum: Conservative and Surgical Treatment Approaches for Low Back Instability, Kinetic and Kinematics Comparison, September 2000.

-         Invited Speaker, Winston-Salem/Forsyth County Community Access Television Corporation, AIDS in Sub-Saharan Africa, August 2000.

-         Invited Speaker, Winston-Salem/Forsyth County Community Access Television Corporation, AIDS Awareness, in Light of the 13th AIDS Annual Conference, Durban, South Africa, July 2000.

-         Invited Speaker, Technology Symposium; Winston Salem State University, Technology oriented Physical Therapy Curriculum, May 2000.

-         Speaker, WSSU, Department of Physical Therapy, Brown Bag Lunch: Biomechanics of Increased Exposure to Lumbar Injury Caused by Cyclic Loading, February 2000.

-         Invited Speaker, NCPTA-District Meeting, Lumbar Spinal Fusion: Motion Pattern and EMG Activity of Selected Muscles, February 2000. 

-         Invited Speaker, Winston-Salem/Forsyth County Community Access Television Corporation, Vision: Hajj and Muslim Community, February 2000.

-   Invited Speaker, Wake Forest University, Orthopedic Research Department. Motion Analysis, Electromyographic Activity and Ground Reaction Forces, Applications and Research Ideas.  January 2000

 

COMMUNITY ACTIVITIES

·                    Inservices and Seminars:

-         Women Committee of Raleigh, Neck and Back Pain, January 2003.

-         Islamic Center of Raleigh, History of the Prophets and Reflection of the Qur’an. Every Saturday (Night class) 2002-Present.

-         Society of Greater Houston- Southeast Houston, Safety of Your Back. June 1998.

-         Phoenix Health Care Nursing, Houston, Back Safety in Home Health, April 1998.

-         Society of Greater Houston-East side, Middle Eastern History, Series of Lecture, 1996-1998.

-         Society of Greater Houston- Southeast Houston, History of the Prophets Series of Lectures, 1994-1998.

-         Glen Forest Elementary School, Fairfax ISD, VA, Fasting and Health, 1993. 

·                    Teaching Arabic Language to Non-Arabic speaking Individuals, Winston-Salem, NC, 2000-2002.

·                    Teaching Arabic Language to Non-Arabic speaking Individuals, Houston, TX, 1996-1999.

·                    One of the founders of Iman Academy-Private School (K – 12) Houston, TX, 1994.

This is from the bounty of my Lord

This is a personal web page. Opinions or views expressed are those of the author and do not represent the official views of Winston-Salem State University.